Are You at Risk for Chronic Exertional Compartment Syndrome?
Published: Oct 20, 2023
Chronic exertional compartment syndrome (CECS) can sneak up on athletes, causing pain and hindering performance. Learn the risk factors to stay ahead of this condition.
Contents
Demographics at Risk
Young endurance athletes, particularly those involved in running or military training, are at higher risk of developing CECS. Studies have shown a higher prevalence in young males, although females are not immune.
Training Habits Matter
Sudden increases in training volume or intensity can trigger CECS. Athletes who frequently change their workout routines without gradual progression may inadvertently increase their risk.

Underdiagnosis and Misdiagnosis
CECS is often underdiagnosed, especially by those who first encounter the symptoms, such as primary care physicians or trainers. This underdiagnosis can delay proper treatment and prolong discomfort.
Frequently Asked Questions
Young athletes, especially those in endurance sports, are at high risk.
Sudden increases in training volume can trigger CECS.
Yes, it is commonly misdiagnosed due to its symptoms overlapping with other conditions.
Yes, military personnel have a higher incidence of CECS.
Wrapping Up
Knowing your risk factors for CECS can help you seek timely intervention.
References
- Waterman BR, Liu J, Newcomb R, et al. Risk factors for chronic exertional compartment syndrome in a physically active military population. Am J Sports Med 2013; 41:2545.
- Davis DE, Raikin S, Garras DN, et al. Characteristics of patients with chronic exertional compartment syndrome. Foot Ankle Int 2013; 34:1349.
- Qvarfordt P, Christenson JT, EklΓΆf B, et al. Intramuscular pressure, muscle blood flow, and skeletal muscle metabolism in chronic anterior tibial compartment syndrome. Clin Orthop Relat Res 1983; :284.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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